title: Evaluation of Integrated Management of Neonatal and Childhood Illness (IMNCI) algorithm for diagnosis and referral in under-five children.
abstract: A prospective observational study was conducted on 500 children to evaluate the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) algorithm for diagnosis and referral of children aged 0-59 mo. IMNCI algorithm performed well in diagnosis [except sepsis in 0-7 d (p < 0.01) and malaria in 2-59 mo (p < 0.01)] and referral of under five illnesses. The proportion of children with the mismatch between 'IMNCI' diagnosis and 'Gold Standard' diagnosis were highest (38.7 %) among children 0-7 d of age. The authors conclude that IMNCI algorithm in young children has good sensitivity for referring children with severe illnesses and is a good tool for diagnosis of most of childhood illnesses in under-five children.
authors.affiliation: Department of Pediatrics, Pt B D Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, 124001, India.
authors.forename: Kundan
authors.initials: K
authors.lastname: Mittal
authors.forename: Vikas
authors.initials: V
authors.lastname: Gupta
authors.forename: Pardeep
authors.initials: P
authors.lastname: Khanna
authors.forename: Jaya Shankar
authors.initials: JS
authors.lastname: Kaushik
authors.forename: Anupama
authors.initials: A
authors.lastname: Sharma
mesh_terms: D000465:Algorithms; D002675:Child, Preschool; D003933:Diagnosis; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010372:Pediatrics; D011446:Prospective Studies; D012017:Referral and Consultation